弥合差距:干预措施以增加患有精神障碍的个体的癌症查遵守率-系统性审查
Paolo Lombardo1, Ilaria Mussetto1, Valentina Baccolini1
1Department of Public Health and Infectious Disease, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy.
Behavioral sciences (Basel, Switzerland)
|January 24, 2025
概括
精神疾病患者的癌症查率较低. 患者导航等干预措施显著改善了乳腺癌和结肠直肠癌查的坚持.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 预防癌症 预防癌症
背景情况:
- 与普通人群相比,患有精神疾病的个人对癌症查计划的遵守率较低.
- 这种差异凸显了这一弱势群体在预防性医疗保健方面的关键差距.
研究的目的:
- 系统地审查和确定旨在提高精神障碍患者癌症查遵守率的干预措施.
- 综合各种癌症查类型中各种干预措施有效性的证据.
主要方法:
- 在PubMed和Scopus的系统文献搜索到2024年1月,遵守PROSPERO指南.
- 包括6项研究 (2个RCT,2个前后,2个队列),评估乳腺癌,结直肠癌和宫癌查的干预措施.
- 包含的研究的质量评估.
主要成果:
- 评估了包括患者导航,病例管理,员工支持,教育模块,决策咨询和增强初级保健在内的干预措施.
- 在乳腺和结直肠癌查方面,特别是患者导航和病例管理方面,观察到显著改善.
- 患者导航显示,结肠直肠癌查遵守率大幅增加 (47.1%对11.8%).
结论:
- 患者导航和病例管理在改善精神障碍患者的癌症查遵守方面表现有前途.
- 需要进一步的研究来评估这些干预措施的成本效益和长期影响.
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